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01-02-2004 | Original Article

Changes in quality of life among elderly patients with hip fracture in Taiwan

Authors: Yea-Ing Lotus Shyu, Min-Chi Chen, Jersey Liang, Jui-fen Rachel Lu, Chi-Chuan Wu, Juin-Yih Su

Published in: Osteoporosis International | Issue 2/2004

Abstract

To examine the longitudinal change in health related quality of life (HRQoL) during 1 year following hospital discharge in elderly subjects, 110 hip fractured subjects (age, mean±SD: 79.3±7.4 years) were enrolled in a prospective study. Face-to-face interviews with the patients were conducted, using Short Form 36 (SF-36) at 1, 3, 6, and 12 months after they were discharged from the hospital. The GEE approach was employed to evaluate changes in the variables of interest among different time points. Subjects in this study appeared to have lower scores in most dimensions of SF-36, with physical function and role limitation being the lowest due to physical problems (mean±SD=10.97±16.19; 6.32±20.60) during the 1st month after hospital discharge, compared to community dwelling subjects (mean±SD=77.5±20.5; 63.8±45.30). Most of the dimensions of SF-36, except general health (6th month versus 3rd month=57.56±21.90 versus 61.75±23.46, P>0.05) improved significantly from the 1st month to the 3rd month (range of means of improved scores from 12.81 to 30.76, P<0.01). After the 3rd month after discharge, physical functions kept improving significantly until 6 months after hospital discharge (3rd month versus 6th month=25.18±23.66 versus 40.30±25.94, P<0.05). Role limitation due to physical problems reached a plateau between the 3rd and 6th month, and then again improved significantly during the 6th month and the 1st year after hospital discharge (6th month versus 1st year=17.69±31.78 versus 32.22±44.47, P<0.05). The rest of the dimensions of SF-36 remained stable from the 3rd month to 1 year after discharge. These results indicated that different aspects of SF-36 recovered differently for the hip fractured patients in Taiwan. Similar studies may be helpful for health-care providers in other countries with Chinese populations to develop specific intervention programs.

Randell AG, Nguyen TV, Bhalerao N et al (2000) Deterioration in quality of life following hip fracture: a prospective study. Osteoporos Int 11:460–466CrossRefPubMed

Directorate-General of Budget, Accounting and Statistics, Executive Yuan & Ministry of Interior, ROC (nd) (2001) Social indicators contents: age-specific distribution of population. Retrieved February 14, 2003, from http://www.dgbas.gov.tw/dgbas03/bs2/91chy/table/s003.xls

Tsai YJ, Lin HS, Chow LP (1995) A pilot study on health sector priority review in Taiwan: by retrospective study on the elderly hip fracture (monograph). Taiwan Provincial Institute of Family Planning, Taichung, Taiwan

Greenfield S, Nelson EC (1992) Recent developments and future issues in the use of health status assessment measures in clinical settings. Med Care 30:MS23–41PubMed

Wilson IB, Cleary PD (1995) Linking clinical variables with health related quality of life. JAMA 273:59–65PubMed

Idler EL, Kasl SV, Lemke JH (1990) Self-evaluated health and mortality among the elderly in New Haven, Connecticut, and Iowa and Washington counties, Iowa, 1982–1986. Am J Epidemiol 131:91–103PubMed

Hall SE, Williams JA, Senior JA et al (2000) Hip fracture outcomes: quality of life and functional status in older adults living in the community. Aust N Z J Med 30:327–332PubMed

Tosteson ANA, Gabriel SE, Grove MR et al (2000) Impact of hip and vertebral fractures on quality-adjusted life years. Osteoporos Int 12:1042–1049CrossRef

Directorate-General of Budget, Accounting and Statistics, Executive Yuan & Ministry of Interior, ROC (1997) Report on the old status survey: Taiwan area, Republic of China. Directorate-General of Budget, Accounting and Statistics, Executive Yuan & Ministry of Interior, Taipei, Taiwan

10.

Dai YT, Dimond MF (1998) A cross-cultural comparison and its implications for the well-being of older parents. J Gerontol Nurs 24:13–18PubMed

11.

Directorate-General of Budget, Accounting and Statistics, Executive Yuan & Ministry of Interior, ROC (1994) Report on the old status survey: Taiwan area, Republic of China. Directorate-General of Budget, Accounting and Statistics, Taipei, Taiwan

12.

Chen YJ, Dai YT, Yang CT et al. (1995) A review and proposal on patient classification in long-term care system. Department of Health, Republic of China, Taipei, Taiwan

13.

Weinberger M, Samsa GP, Hanlon JT et al. (1991) An evaluation of a brief health status measure in elderly veterans. J Am Geriatr Soc 39:691–694PubMed

14.

Lyons RA, Perry HM, Littlepage BN (1994) Evidence for the validity of the Short-form 36 Questionnaire (SF-36) in an elderly population. Age Ageing 23:182–184PubMed

15.

Ware JE, Kosinski MK, Keller SD (1994) SF-36 physical and mental health summary scales: a user’s manual. The Health Institute, New England Medical Center, Boston

16.

Tseng HM, Lu JFR, Tsai YJ (2003) Assessment of health-related quality of life (II): norming and validation of SF-36 Taiwan version. Chin J Public Health (in press)

17.

McHorney CA (1996) Measuring and monitoring general health status in elderly persons: practical and methodological issues in using the SF-36 Health Survey. Gerontologist 36:571–583PubMed

18.

Chiu HC, Mau LW, Hsu YC et al. (2001) Postoperative 6-month and 1-year evaluation of health-related quality of life in total hip replacement patients. J Formos Med Assoc 100:461–5PubMed

19.

Ware JE, Davies-Avery A, Brook RH (1980) Conceptualization and measurement of health for adults in the Health Insurance Study. Volume VI: analysis of relationships among health status measures. The RAND Corporation, Santa Monica, Calif.

20.

Liang KY, Zeger SL (1986) Longitudinal data analysis using generalized linear models. Biometrika 73:13–22

21.

Liang KY, Zeger SL (1993) Regression analysis for correlated data. Annu Rev Public Health 14:43–68CrossRefPubMed

22.

Magaziner J, Simonsick EM, Kashner TM, et al (1990) Predictors of functional recovery one year follow hospital discharge for hip fracture: a prospective study. J Gerontol 45:M101–107PubMed

23.

Young Y, Brant L, German P et al (1997) A longitudinal examination of functional recovery among older people with subcapital hip fractures. J Am Geriatr Soc 45:288–294PubMed

24.

Aharonoff GB, Koval KJ, Skovron ML et al (1997) Hip fractures in the elderly: predictors of one year mortality. J Orthop Trauma 11:162–165CrossRefPubMed

25.

Boereboom FT, Raymakers JA, Duursma SA (1992) Mortality and causes of death after hip fractures in The Netherlands. Neth J Med 41:4–10PubMed

26.

Jacobsen SJ, Goldberg J, Miles TP et al. (1992) Race and sex differences in mortality following fracture of the hip. Am J Public Health 82:1147–1150PubMed

27.

Nettleman MD, Alsip J, Schrader M et al. (1996) Predictors of mortality after acute hip fracture. J Gen Int Med 11:765–767

28.

Pitto RP (1994) The mortality and social prognosis for hip fractures. A prospective multifactorial study. Int Orthop 18:109–113PubMed

29.

Schroder HM, Erlandsen M (1993) Age and sex as determinants of mortality after hip fracture: 3895 patients followed for 2.5–18.5 years. J Orthop Trauma 7:525–531PubMed

30.

Kuokkanen HO, Korkala OL (1992) Factors affecting survival of patients with hip fractures. Acta Orthop Belg 58:425–428PubMed

31.

Baudoin C, Fardellone P, Bean K et al (1996) Clinical outcomes and mortality after hip fracture: a 2-year follow-up study. Bone 18:S149–157CrossRef

32.

Norton R, Butler M, Robinson E et al. (2000) Declines in physical functioning attributable to hip fracture among older people: a follow-up study of case-control participants. Disabil Rehabil 22:345–351CrossRefPubMed

33.

Willig R, Keinänen-Kjukaaniemi S, Jalovaara P (2001) Mortality and quality of life after trochanteric hip fracture. Public Health 115:323–327PubMed

34.

Williams MA, Oberst MT, Bjorklund BC (1994) Early outcomes after hip fracture among women discharged home and to nursing homes. Res Nurs Health 17:175–183PubMed

35.

van Balen R, Steyerberg EW, Polder JJ et al. (2001) Hip fracture in elderly patients: outcomes for function, quality of life, and type of residence. Clin Orthop:232–243

36.

Borgquist L, Nilsson LT, Lindelow G et al. (1992) Perceived health in hip-fracture patients: a prospective follow-up of 100 patients. Age Ageing 21:109–116PubMed

37.

Tsai YM, Yi CC (1997) Persistence and changes in Chinese family values: the Taiwanese case. In: Chang LY, Lu YH, Wang FC (eds) (1997) Taiwanese society in 1990s: Taiwan social change survey symposium series II (part II) (The Preparatory Office of the Institute of Sociology, Academia Sinica monograph series: no 1). Institute of Sociology, Academia Sinica, Taipei, Taiwan, pp 123–169

38.

Yeh KH (1997) Changes in the Taiwan people’s concept of filial piety. In: Chang LY, Lu YH, Wang FC (eds) (1997) Taiwanese society in 1990s: Taiwan social change survey symposium series II (part II) (The Preparatory Office of the Institute of Sociology, Academia Sinica monograph series: no 1). Institute of Sociology, Academia Sinica, Taipei, Taiwan, pp 171–214

39.

Lee YJ, Parish WL, Wills R (1994) Sons, daughters, and intergenerational support in Taiwan. Am J Sociol 99:1010–1041CrossRef

40.

Barnes B, Dunovan K (1987) Functional outcomes after hip fracture. Phys Ther 67:1675–1679PubMed

41.

Wu SC (1997) Investigation of health and long-term care conditions of elderly persons in Taiwan. Department of Health, Taiwan, Republic of China, Taipei, Taiwan

Title: Changes in quality of life among elderly patients with hip fracture in Taiwan
Authors: Yea-Ing Lotus Shyu
Min-Chi Chen
Jersey Liang
Jui-fen Rachel Lu
Chi-Chuan Wu
Juin-Yih Su
Publication date: 01-02-2004
Publisher: Springer-Verlag
Published in: Osteoporosis International / Issue 2/2004
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-003-1533-x

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Changes in quality of life among elderly patients with hip fracture in Taiwan

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